Status:

COMPLETED

Neoadjuvant Doxorubicin/Cyclophosphamide Followed by Docetaxel (AC-Doc) Versus Dose-Dense Doxorubicin and Docetaxel (ADoc) in Breast Cancer

Lead Sponsor:

GBG Forschungs GmbH

Collaborating Sponsors:

German Adjuvant Breast Cancer Group

Conditions:

Primary Breast Cancer

Eligibility:

FEMALE

18+ years

Phase:

PHASE3

Brief Summary

The primary objective of this trial is to compare the rate of pathologically complete remissions achieved using a preoperative dose-intensified 8 week therapy consisting of adriamycin and docetaxel wi...

Eligibility Criteria

Inclusion

  • Pre-study screening performed according to section 7.1
  • Unilateral primary carcinoma of the breast, confirmed histologically by core or tru-cut biopsy. Fine-needle aspiration is not sufficient. Incisional biopsy is only allowed if less than 20% of the tumor is excised.
  • Two-dimensionally measurable (mammography, ultrasound, or MRI) breast tumor
  • Primary tumor \>= 2 cm in largest diameter by either palpation, sonography or mammography, or breast MRI. In patients with multifocal or multicentric breast cancer, the largest lesion should be measured.
  • No evidence of distant metastases
  • Life expectancy of at least 10 years, disregarding the diagnosis of cancer.
  • Karnofsky index \>= 70%.
  • Age 18 years or older.
  • Adequate hematological, renal, and hepatic function (WBC \> 4000, platelets \> 100 000, bilirubin, serum creatinine and transaminases within 1.5 × upper normal range).
  • Evidence of normal cardiac function (with or without medication) from the patient history and from electrocardiography. Normal function is confirmed by echocardiography or multiple gated acquisition (MUGA) scan.
  • Negative pregnancy test and appropriate nonhormonal contraception in fertile women. Intrauterine pessaries with progestogens are allowed.
  • Written informed consent and assumed compliance for therapy and follow up of the patients.
  • Consent of patient, pathologist and investigator to supply tumor material of biopsy and surgery for central pathologic evaluation and examination of predictive factors.

Exclusion

  • Locally advanced (stage T4), bilateral, metastatic, or inflammatory breast cancer. If one of these conditions is suspected, it has to be excluded before enrollment into study.
  • Previous treatment for breast cancer, including surgery, radiation, cytotoxic, or endocrine treatments.
  • Previous malignancy other than breast cancer or noninvasive breast cancer if the disease-free interval is less than 10 years.
  • Previous cytotoxic treatment for any condition.
  • Preexisting neurotoxicity greater than grade II.
  • Active infection or other significant illness that could influence the tolerability of treatment.
  • Current treatment with sex hormones (treatment has to be discontinued before the start of systemic therapy).
  • Psychiatric illness or drug addiction that would preclude obtaining informed consent.

Key Trial Info

Start Date :

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 1 2001

Estimated Enrollment :

913 Patients enrolled

Trial Details

Trial ID

NCT00793377

End Date

September 1 2001

Last Update

November 19 2008

Active Locations (1)

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1

German Breast Group

Neu-Isenburg, Hesse, Germany, 06102